Bijou: Engaging Young MSM in HIV Care Using a Mobile Health Strategy

J Int Assoc Provid AIDS Care. 2021 Jan-Dec:20:23259582211030805. doi: 10.1177/23259582211030805.

Abstract

Young men who have sex with men (YMSM) living with HIV experience challenges with retention in care, which negatively affects viral suppression. To address this, researchers piloted Bijou, a program designed to provide health education through electronically delivered behavior and risk reduction modules. Participants were 29 YMSM aged 19-24 living with HIV from the southeastern US. Participants completed pre, post, and 3-month follow-up (3MFU) surveys assessing knowledge, intervention acceptability, satisfaction, self-efficacy, ehealth literacy, and usability. Findings revealed significant improvement in knowledge and e-health literacy from pre-test to post-test but lost significance at 3MFU. Self-efficacy scores did not show significant differences from pre-test to post-test or 3MFU. Participants who completed all modules considered Bijou usable and acceptable; however, many did not complete the program. Findings suggest a need for adaptations to promote knowledge retention, e-health literacy, engagement over time, and research with a larger, more representative sample.

Keywords: HIV; MSM; eHealth; mobile health; youth.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • HIV Infections* / prevention & control
  • Homosexuality, Male
  • Humans
  • Male
  • Risk Reduction Behavior
  • Sexual and Gender Minorities*
  • Telemedicine*